Renal biopsy is a procedure for removal of a small fragment of tissue from the kidney for analysis to identify kidney diseases that other tests and tests are not able to clarify. In kidney biopsy it is possible to obtain a small fragment of the kidney, approximately 1 to 2 cm long, through a special needle inserted into the back of the patient. Like this fragment in hands, we can microscopically assess the impairment of the kidneys' structures and establish diagnoses, prognoses and indications to start or not to treat, says Top Nephrologist in Delhi. Generalities of the test Usually, a kidney biopsy is done by inserting a biopsy needle into the kidney through the back. This is known as a percutaneous renal biopsy. A tissue sample is taken and sent to a laboratory. It is examined with a microscope. The sample can help the best Nephrologist in Delhi to determine the health of the kidney and detect problems. According to Nephrologist in Delhi, a kidney biopsy can be done to detect kidney problems. It can also be done after other tests to detect kidney disease, such as blood and urine tests, an ultrasound, or a CT scan, show a kidney problem. Why is it done? The renal biopsy is done by best Kidney Specialist in Delhi to:
A kidney biopsy is performed by a urologist, a nephrologist, or a radiologist at a clinic or hospital. Often, a kidney biopsy is performed by a radiologist, who uses an ultrasound, a fluoroscopy, a CT scan, or an MRI (magnetic resonance imaging) scan to guide the biopsy needle. All or almost all clothing must be removed. He will wear a robe. It is possible that before the biopsy, you are given a sedative intravenously (IV) in a vein in your arm. The sedative will help you relax and remain still during the biopsy. During the test You will be asked to lie on an examination table. They will place a sack of sand, a firm pillow or a rolled towel under the body to support the abdomen. It is very important that you follow the doctor's instructions about breathing, holding your breath and staying still while you are having a biopsy. Your doctor will examine your back and may make a slight mark on the skin with a pencil or an instrument at the biopsy site. The biopsy can be performed on the right or left kidney. The site will be cleaned with a special soap. Then, your doctor will give you a local anaesthetic to numb the area where the biopsy needle will be inserted. The doctor will insert the biopsy needle through the skin while observing your kidney using ultrasound or another imaging technique. You will be asked to hold your breath and remain very still while the needle is inserted into the kidney. The needle is removed after taking the tissue sample. Pressure is applied at the biopsy site for several minutes to stop bleeding. Then, a bandage is placed on the site. The biopsy lasts between 15 and 30 minutes. After the test After the biopsy by Nephrologist in Gurgaon, you will rest in bed from 6 to 24 hours. The pulse, blood pressure and temperature will often be checked after the biopsy. If there are no problems, you can go home. To prevent bleeding at the biopsy site, you will be asked to lie down in a certain position for the next 12 to 24 hours. You can continue with your normal diet. Do not take aspirin or anti-inflammatory medications for a week after the biopsy. You can do your usual activities, but do not do intense activities, such as lifting heavy objects, running with intensity, riding a motorcycle, playing contact sports or doing other activities that could shake or shake the kidney, for 2 weeks after the biopsy, says Kidney Specialist in Gurgaon.
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Kidney stone is known as one of the most painful conditions there are. Here's how to prevent it and the types of treatment. According to best Nephrologist in Delhi, Kidney stones are cured formations in the kidney or in urinary tract, resulting in the accumulation of existing crystals in the urine. Its presence may go unnoticed, with no symptoms, but it can also cause very severe pain that starts in the back and radiates to the abdomen towards the inguinal region. It is a pain that manifests itself in cramp, that is, with a peak of intense pain followed by some relief. In general, these seizures may be accompanied by nausea and vomiting and require medical and hospital care. CAUSES According to Kidney Specialist in Delhi, among the causes of kidney stone, it is important to note:
DIAGNOSIS In addition to the clinical evidence (severe pain and signs of blood in the urine), kidney stone can be diagnosed by abdominal X-rays, ultrasound or excretory urography, a more specific examination of the urinary tract, says best Kidney Specialist in Delhi. SYMPTOMS According to Nephrologist in Gurgaon, the typical kidney stone symptom in the urine is an acute, unilateral, severe back pain that radiates to the front of the abdomen. In a few cases, patients are asymptomatic or little pain felt during passage of the calculation by ureters. However, there are other symptoms that may be associated with kidney stones, such as:
TREATMENT Contrary to what was recommended in the past, excessive fluid intake should be avoided during crises. Too much fluid can increase urine pressure in the kidney and, consequently, increase pain, says Nephrologist in Noida. The treatments can be of several types:
RECOMMENDATIONS FOR PREVENTION AND TREATMENT OF KIDNEY STONES
Kidney transplant in Delhi The kidney transplant is a surgical treatment in which a healthy kidney, obtained from a living donor or deceased donor, implanted to a patient with implanted chronic renal disease, to replace the functions performed by the damaged kidney and avoid performing dialysis, says best nephrologist in Delhi. ANATOMY AND FUNCTION OF THE KIDNEYS According to top kidney specialist in Delhi, the kidneys are organs that have the shape of a bean and measure about 12 centimetres long, they are on both sides of the spine, in the so-called lumbar fossa, in retroperitoneal position and protected by the ribs. The function of these organs is to purify the blood and maintain the hydro-electrolytic balance. In addition, they are responsible for the synthesis of hormones such as erythropoietin. TYPES OF KIDNEY TRANSPLANT We can classify renal transplantation according to the type of donor (living or deceased). Kidney transplant from a living donor In living donor kidney transplantation, the donor is usually a relative of the patient who wishes to donate a kidney. This type of transplant has many advantages as it is done with prior preparation of both the donor and the recipient and the surgery is scheduled in an elective way, which minimizes the risks. In addition, it can be carried out in patients in pre-dialysis, obtaining better results, says nephrologist in Gurgaon. Kidney transplant from a deceased donor As the name suggests, in the deceased donor kidney transplant, the donor is lifeless. There are different types of deceased donor: brain death and death due to cardiac arrest. In this case it is an unscheduled surgery. According to nephrologist in Noida, Generally, patients on the list for renal transplantation must undergo dialysis, the duration of the substitution treatment will depend on the characteristics of the patient: blood group and age. The patient should wait for the transplant to reach the most suitable kidney on a waiting list. PHASES OF KIDNEY TRANSPLANTATION IN DELHI Before the transplant All candidates for kidney transplantation should be visited by the doctors of the transplant team: nephrologist, urologist, transplant coordinator and anaesthetist. You must perform a series of tests to confirm the feasibility of the surgery and its compatibility. The day of the transplant In a live donor transplant If it is a live donor transplant, the surgery is scheduled. In this case, the patient will enter the day before it. Both the donor and the recipient will go to the operating room simultaneously and the intervention will be performed in contiguous operating rooms. In a deceased donor transplant In the case of renal transplantation from a deceased donor, after obtaining a potential organ, patients will be compared to the waiting list and the most appropriate patient will be selected based on it. The doctor on call will call the patient candidate who must go to the hospital in the shortest possible time to perform the compatibility test (crossmatch) and proceed later to the intervention. SURGICAL TECHNIQUE OF THE KIDNEY TRANSPLANTATION During surgery, the doctor for kidney transplant in Delhi places the new kidney in the lower abdomen (usually on the right side), through a club-shaped incision. Subsequently, it connects the artery and vein of the kidney to the iliac vessels (vessels that carry and collect blood from the legs) of the recipient. Next, the connection of the ureter (the tube that carries the urine) to the urinary bladder is made. The kidney often produces urine immediately, but sometimes it may take a few weeks to start functioning, and may even require some dialysis sessions, says kidney transplant doctor in Delhi. Primary care professionals are essential for the care of chronic kidney disease. Many of the problems for the care of this disease overlap with those of diabetes and hypertension, so the early treatment of chronic kidney disease, before it becomes necessary referral to the best nephrologist in Delhi, can improve health outcomes for the patient. However, the numerous guidelines for the care of chronic kidney disease, sometimes in the contradiction between them, they can make it difficult to try to understand the disease and provide adequate care. This can be especially true for primary care professionals who are in charge of managing a wide range of the spectrum of diseases. Early treatment of chronic kidney disease can improve the results of the patient's health. Management of Chronic Renal Disease In Primary Care
They produce erythropoietin, a hormone necessary for the synthesis of red blood cells, and they activate the vitamin D necessary for the absorption of calcium and the health of the bones. Chronic kidney disease is detected and monitored by nephrologist in Delhi using two tests:
It is defined by:
Not all patients with a decrease in eGFR or low-grade albuminuria will progress to kidney failure. It is important to identify patients who have a high risk that the disease advances to stop that progress. In general, the progression of the disease is often associated with:
It is important to identify the patients who have a high risk of the disease breakthrough to stop that progress. The key components to slow the progression of chronic kidney disease, suggested by top nephrologist in Delhi are:
Chronic kidney damage often limits the possibilities of enjoying sex and intimacy in both men and women. Sex and intimacy mean something different for everyone. And they are an important part of life for many people. Sexuality means more than sex for many people. It has to do with intimacy and tenderness. And with keeping one's own body and that of another. Sex is also a way to give warmth and appreciation to each other. Sex can bring physical pleasure and relaxation. Sex can also make life exciting. Causes The sexual problems can have various causes. People with chronic kidney damage can be very tired. As a result, you may have less energy and desire to be free or intimate. Chronic kidney damage can also cause sexual organs to work less well. In men and women, the amount of sex hormones can decrease. Both men and women can experience problems with the experience of orgasm. The desire to be loveable or intimate can also decrease due to emotional causes (also: psychological causes) says the best kidney specialist in Delhi.
Sexual problems with kidney damage Sexual problems are common in kidney patients. In men and women. What kind of problems this may depend on the severity of kidney damage and treatment (medicine, dialysis or transplantation). Problems with sexuality occur in people with a partner and in people without a partner. With partners, the problems can create tensions within the relationship. In people without a relationship, fear can start to start a relationship because of sexual problems. Or perhaps there are depressive feelings that reduce the interest in intimacy or a new partner. Make it negotiable Talking about your sexual needs and problems is the only solution. How difficult it sometimes is? You do not have to solve the problems in 1 conversation. That is not possible either. Sometimes it is no longer possible to make love as you were used to. It may be that more or other stimulation is needed to make you feel excited again. To make love differently than you were used to, can bring back pleasure in sex. For this too, it is necessary to talk to each other. For example, partners may consider taking the time to talk regularly and give each other attention. Maybe your partner, like you, has difficulty with sexuality. But maybe that is not the case at all. By regularly talking about this, you discover from each other what the other person needs, and what the other person thinks and feels. If you do not have a partner, discuss your problems with someone you trust. This can be a good friend, but also a companion or a care provider, such as your nephrologist in Delhi, social worker or sexologist in Delhi. They recognize your questions and problems. And possibly have advice. Try to appreciate your body Try to appreciate and accept your body. That requires time and loving attention. These tips can help.
Do you not come out? Then ask for help from a care provider you trust. Tell your doctor, best nephrologist in Delhi or social worker about your sexual problems. Perhaps it is possible to adjust your medication. If necessary, it can refer you to a specialized health care provider. Like a urologist in West Delhi or best sexologist in Delhi. There are outpatient clinics for sexology in a number of hospitals. Maybe it feels uncomfortable to discuss your sexual problem. That is understandable. Realize that you are not the only one with this problem. Kidney specialist in Delhi knows that it is very common. And they do not look if you want to talk about it. Your doctor or top sexologist in Delhi will do everything to solve the problem together with you. |
AuthorA passion for helping others led me down the path of Medicine into a career that allows me to provide my patients with high quality healthcare. As a professional Nephrologist in Delhi since 2008, I bring a holistic approach to medicine in order to find comfortable and effective solutions for everyone. Read on to learn more about my medical background. Archives
March 2023
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